My bx showed necrosis phase 3. One of the docs told me fibrosis is the current term for necrosis.
It is confusing. The docs confirmed I have compensated cirrhosis. Where does the fibrosis/necrosis fit into the cirrhosis progression?
When fibrosis becomes widespread and has progressed to the point where the internal structure of the liver has become abnormal, fibrosis has progressed to cirrhosis. Cirrhosis is the result of long term liver damage caused by chronic inflammation and liver cell death. The causes of cirrhosis include viral hepatitis, excessive intake of alcohol, inherited diseases, and hemochromatosis (abnormal handling of iron by the body).
Cirrhosis is accompanied by a reduction in blood supply to the liver. The loss of healthy liver tissue and the reduced blood supply can lead to abnormalities in liver function. Even when liver disease has progressed to cirrhosis, it may still be possible for the damage to be at least partially reversed if the underlying cause can be eliminated. Cirrhosis progression can usually be slowed or even stopped with treatment.
The onset of cirrhosis is usually silent, with few specific symptoms to identify this development in the liver. As scarring (fibrosis) and destruction continue, some of the following signs and symptoms may occur: loss of appetite, nausea and/or vomiting, weight loss, change in liver size, gallstones, itching, and jaundice. However, a large number of people live many, many years with cirrhosis without any decompensation or symptoms.
It is important to know that once cirrhosis develops, it is critical to avoid further progression of the disease. The consumption of alcohol in any form, including such things as certain mouthwashes and cough medicines, must be completely avoided by people with cirrhosis.
If you have cirrhosis, this may be a time to reevaluate your treatment goals. If you have not had interferon-based therapy, you may want to consider it or other available treatments that aim to eradicate the virus. It may also be time to look into other means of improving the health of your liver.
The chart doesn't format too well, but this still gives you and idea. It is very fortunate that you have decided to treat. You said you were clear at 16 weeks. Were you clear at 12? If not, have you decided to go 72 weeks? This would probably be advisable given your stage.
Comparison of Scoring Systems: Periportal Necroinflammatory Changes
Score Original HAI[a](3) Modified HAI(4) Metavir[b](5)
0 None Absent Absent
1 Mild piecemeal necrosis Mild (focal, few portal areas) Diffuse alteration of the periportal tract in some portal tracts or focal
2 Mild/Moderate (focal, most portal areas) Diffuse alteration of the periportal tract in some portal tracts or focal
3 Moderate piecemeal necrosis (involves less than 50% of the circumference of most portal tracts Moderate (continuous around 50% of tracts or septae)
Thanks for the information. It is very helpful. Finally the fibrosis/necrosis makes sense.
Yes, I didnot clear until wk. 16 and my doc said i would go the full 72. After cbc at week 18, doc reduced procrit from once a week to once every 2 weeks because my white & red count had improved. And she said I did not have to go on neupogen. I have a pack of neupogen "just in case".
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.